— 藥理與非經腸給藥 · MEDIUM · MCQ —
護理師正準備經由鼻胃管（NG tube）給藥。給藥前最重要的行動為何？
A nurse is administering a medication via a nasogastric (NG) tube. What is the most appropriate action before administering the drug?
- AMix the medication with the tube feeding formula將藥物與管灌配方混合
- BVerify the placement of the tube✓ 正解確認管路位置
- CFlush the tube with 30 mL of water以30 mL水沖洗管路
- DCheck for gastric residual volume檢查胃殘留量
— Explanation · 中文詳解 —
安全性原則首重確認管路位置（Verify placement）。若管路不在胃內，給藥會導致嚴重的吸入性肺炎。確認位置後才進行後續的沖洗與給藥。D 選項雖重要但屬於營養給予前評估，B 是給藥前確保病人安全的第一要務。
The first safety principle is to verify tube placement. If the tube is not in the stomach, administering medication can cause severe aspiration pneumonia. Only after placement is confirmed should flushing and medication administration proceed. Option D is important but pertains to pre-feeding assessment, whereas option B is the first priority for patient safety before medication administration.
✦ 台美臨床差異
美台臨床對於 NG 管路確認的標準均高度一致，強調嚴格確認位置。